Week 3 - Structure and function of blood vessels Flashcards

1
Q

What is the function of blood?

A

transport, protection and homeostasis

in order to achieve this, blood vessels are required

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2
Q

What are blood vessels?

A

Closed system of tubes where blood goes away from the heart to the organs and is returned back to the heart.

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3
Q

What is pulmonary circulation?

A

blood to the lungs

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4
Q

What is systemic circulation?

A

blood to the rest of the body

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5
Q

What are the different types of blood vessels?

A

Arteries
Arterioles
Capillaries
Venules
Veins

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6
Q

What are the layers of a blood vessel wall?

A

→ Tunica intima (interna)
→ Tunica media (middle)
→ Tunica externa (adventitia)

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7
Q

What is the tunica intima?

A

→Innermost layer called endothelium
which inc. thin flattened cells, a basement membrane and internal elastic lamina

Smooth to reduce friction
Secrete locally acting chemical mediators
Basement mem. and lamina provide support to cells

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8
Q

Why is important that the tunica intima has smooth cells?

A

If the wall of the blood vessel becomes rough for any reason, platelets could start to adhere to it, causing a clot.

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9
Q

What is the tunica media?

A

The middle layer of blood vessel wall

→ Made of muscle and the connective tissue elastin - this accounts for the variation of different vessels in terms of levels of elastin and muscle in their walls.

→ Muscle arranged in circular direction to regulate the diameter of the blood vessel - controlled by SNS.

→ External elastic lamina separates outer layer from middle layer and provides support.

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10
Q

What is the tunica externa?

A

The outermost layer of blood vessel wall

→ Made of elastic and collagen fibres (elastic for stretch and collagen to provide support).

→ Also contains nerves and vasa vasorum (in larger vessels = blood vessels supplying to BV’s themselves)

→ Helps to anchor the vessel to the surrounding tissue

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11
Q

Features, structure and function of arteries?

A

𝑭𝒆𝒂𝒕𝒖𝒓𝒆𝒔:
- carry blood away from heart under high pressure
- 15% blood volume
- elastic arteries → largest arteries i.e. aorta
- muscular arteries → tunica media smooth muscle and elastin

𝑺𝒕𝒓𝒖𝒄𝒕𝒖𝒓𝒆:
- tunica intima
- tunica media
- tunica externa (arranged longtudinally)

𝑭𝒖𝒏𝒄𝒕𝒊𝒐𝒏:
→ distribute blood to major organs
→ elastic fibres enable vessels to stretch
→ muscular art. can adjust blood flow

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12
Q

Features, structure and function of arterioles?

A

𝑭𝒆𝒂𝒕𝒖𝒓𝒆𝒔:
- deliver blood to the capillaries
- approx. 400 million
- terminal end of arteriole, distal most muscle cell forms the pre-capillary sphincter

𝑺𝒕𝒓𝒖𝒄𝒕𝒖𝒓𝒆:
- tunica intima
- tunica media

𝑭𝒖𝒏𝒄𝒕𝒊𝒐𝒏:
→ regulate blood flow to tissues + affect blood pressure
→ pre-capillary sphincter regulates the resistance to blood flow

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13
Q

Features, structure and function of capillaries?

A

𝑭𝒆𝒂𝒕𝒖𝒓𝒆𝒔:
- microcirculation from capillaries to venules
- 20 billion → large surface area
- 5% blood volume
- found near every cell in body

𝑺𝒕𝒓𝒖𝒄𝒕𝒖𝒓𝒆:
- tunica intima but NO MEDIA OR EXTERNA

𝑭𝒖𝒏𝒄𝒕𝒊𝒐𝒏:
→ permit exchange of nutrients and waste between blood and tissues

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14
Q

What are fenestrated capillaries?

A

Found in kidneys, small intestine, ventricles of the brain

They have small pores to allow larger molecules to pass through

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15
Q

What are sinusoid capillaries?

A

Found in liver

They have large pores to allow proteins to pass through

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16
Q

Features, structure and function of venules?

A

𝑭𝒆𝒂𝒕𝒖𝒓𝒆𝒔:
- collects blood from capillaries to veins
- thin walls, 10-50um in diameter

𝑺𝒕𝒓𝒖𝒄𝒕𝒖𝒓𝒆:
- tunica intima
- tunica media, little smooth muscle

𝑭𝒖𝒏𝒄𝒕𝒊𝒐𝒏:
→ exchange of nutrients and waste

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17
Q

Features, structure and function of veins?

A

𝑭𝒆𝒂𝒕𝒖𝒓𝒆𝒔:
- returns blood back to heart under low pressure
- thin walls
- 0.5mm for small veins ato 3cm in diameter for larger veins
- can stretch

𝑺𝒕𝒓𝒖𝒄𝒕𝒖𝒓𝒆:
- tunica intima thinner than art.
- tunica media thin
- tunica externa thickest layer (containing collagen + elastic fibres)
- valves - thin fold of tunica intima

𝑭𝒖𝒏𝒄𝒕𝒊𝒐𝒏:
→ blood reservoir
→ valves - prevent backflow

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18
Q

What is anastamosis?

A

A union of branches of 2 or more arteries - alternative route for blood

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19
Q

Why is there no tunica media or externa in the capillaries?

A

To allow diffusion to take place

Exchange of nutrients and waste products in the tissues.
Allows oxygen into tissues and for carbon dioxide to be returned to lungs

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20
Q

How does venous return occur?

A

As the veins are a low pressure system, they need assistance to return the blood back to the heart.
They gain assistance through:

→ Skeletal muscle pump - e.g. walking - Skeletal muscle contraction assists with pumping blood back to the heart - valves prevent backflow

→ Respiratory muscle pump - Alternating compression and decompression of veins:
When breathing the diaphragm moves down, reducing pressure in the thorax which increases pressure in the abdominal cavity, compressing the veins so blood moves towards the heart.

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21
Q

What is homeostasis?

A

A state of steady internal, physical and chemical conditions maintained by living systems for optimal functioning for the organism.

Pre-set normal limits: body temperature, fluid balance, pH, ions (potassium, sodium and calcium) and blood sugar levels.

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22
Q

What does the regular mechanism involve to achieve homeostasis?

A

Receptor: picks up that things aren’t at correct values → thermoreceptor, mechanoreceptor

Control centre: information enters control centre→ respiratory centre, reninangiotensin system

Effector: target acted on to return to normal state

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23
Q

What is blood flow?

A

The volume of blood that flows through any given tissue in a given time (mL/min)
Blood flow to individual tissues is dependent on requirements

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24
Q

Speed of blood flow key points?

A

Speed (velocity) of blood flow is inversely proportional to the cross sectional area.

→ when there is extensive branching, e.g. in the capillaries, the flow is slower however this allows for nutrients and waste products to be exchanged through diffusion

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25
Q

What is haemodynamics?

A

factors affecting blood flow

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26
Q

What is the definition and equation for cardiac output?

A

Total blood flow = Cardiac output - volume of blood that circulates through the systemic (pulmonary) blood vessels per minute.

CO = HR X SV
(around 5-6L/min at rest but can go up to around 35L/min if exercising (elite))

27
Q

Stroke volume definition?

A

The volume of blood pumped out of the ventricle with one contraction

28
Q

What 2 factors is cardiac output distribution dependent on?

A

→ Pressure difference that drives blood through vessel
→ Resistance to blood flow

29
Q

What is blood viscosity?

A

Thickness of the blood

30
Q

What are the 3 components of vascular resistance?

A
  1. Size of the lumen
  2. Blood viscosity
  3. Total blood vessel length
31
Q

How does blood viscosity influence vascular resistance?

A

Increased viscosity → increased resistance to blood flow → decreased blood flow

Might occur due to dehydration or an increase in red blood cells.

32
Q

How does the total blood vessel length influence vascular resistance?

A

Resistance to blood flow is proportional to the length of the vessel
→ the longer the vessel the more resistance

33
Q

How does the size of the lumen influence vascular resistance?

A

Small lumen → increased resistance to blood flow → decreased blood flow

34
Q

What is systemic vascular resistance?

A

(also known as total peripheral resistance)
It is resistance to blood flow offered by systemic vessels.

𝐒𝐦𝐚𝐥𝐥𝐞𝐫 𝐯𝐞𝐬𝐬𝐞𝐥𝐬 → arterioles, venules + capillaries offer 𝒉𝒊𝒈𝒉 𝒓𝒆𝒔𝒊𝒔𝒕𝒂𝒏𝒄𝒆 (arterioles key in controlling systematic vascular resistance).

𝐋𝐚𝐫𝐠𝐞𝐫 𝐯𝐞𝐬𝐬𝐞𝐥𝐬 → e.g. veins - offer 𝒍𝒐𝒘𝒆𝒓 𝒓𝒆𝒔𝒊𝒔𝒕𝒂𝒏𝒄𝒆 to blood and act as reservoirs for blood and need assistance to move blood back to heart.

35
Q

Why are arterioles key in controlling SVR?

A

They have a large amount of smooth muscle within their wall which allows them to open up or to narrow which impacts blood flow.

36
Q

What is blood pressure?

A

The pressure exerted on the blood vessel walls - pumping action of the heart when ventricles contract.

  • regulation of blood pressure is vital for life
  • constant autonomic (neural) and hormonal control
37
Q

Where is blood pressure the highest?

A

In the Aorta as it is just leaving the ventricle

38
Q

What is a usual blood pressure reading?

A

120mmHg systolic
80mmHg diastolic

(variations in different individuals)

39
Q

What is mean arterial pressure?

A

The average pressure flowing through the arteries.

MAP = CO x systemic vascular resistance

40
Q

How does autonomic control determine blood pressure?

A

Short-term control of blood pressure

→Controlled by cardiovascular centre in medulla oblongata.
→This impacts on the sympathetic and parasympathetic nervous system as heart rate can change - sympathetic = stimulatory, parasympathetic = inhibitory.
→ Also controlled by vasomotor centre in the medulla oblongata → impacts constriction/dilation of blood vessels (particularly arterioles) and thus systemic vascular resistance

41
Q

How does hormonal control determine blood pressure?

A

Through the renin-angiotensin aldosterone system

42
Q

Process of autonomic control?

A

(example of homeostasis)
→Baroreceptors (detect pressure) in the arch of aorta + carotid sinus - pick up the stretch on the blood vessel walls.

if…
- ↓ blood pressure - ↓ stretch on blood vessel walls - ↓ signals (via glossopharyngeal and vagus nerves) to the cardiovascular centre - ↓ inhibitory PNS to SA node - ↑ HR which will ↑ CO and thus blood pressure.

43
Q

Process of renin-angiotensin aldosterone system?

A

Long-term control of blood pressure

↳↑ BP - ↓ blood flow to the kidneys - cells in the kidney secrete renin into the blood
↳ Renin splits angiotensin, a large protein, into angiotensin I.
↳ Angiotensin I, which is inactive, is split into pieces by angiotensin-converting enzyme into angiotensin II, a hormone which is active.
↳ Angiotensin II causes the muscular walls of small arteries (arterioles) to constrict, ↑ blood pressure by increasing systemic vascular resistance.
↳ AT II also triggers release of hormone aldosterone from adrenal glands and vasopressin from pituitary gland.

44
Q

What do aldosterone and vasopressin do?

A

They are hormones that cause the kidneys to retain sodium.
The increased sodium causes water to be retained, thus increasing blood volume and blood pressure.

44
Q

What are the 3 functions of blood?

A

↳Transportation - gases (oxygen and carbon dioxide), nutrients, waster products, hormones.

↳Regulation - homeostasis of body fluids, pH, body temperature, blood osmotic pressure (impacts on water content of cells).

↳ Protection - clotting (reduces blood loss), white blood cells (phagocytosis), proteins (antibodies) protect against disease.

45
Q

What are formed elements divided into?

A

Platelets
White blood cells → neutrophils, lymphocytes, monocytes, eosinophils, basophils
Red blood cells

45
Q

What is plasma divided into?

A

Proteins 7%→Albumins, globulins, fibrinogen
Water 91.5% → Acts as a solvent
Other solutes 1.5% → Electrolytes, nutrients, waste products, regulatory substances

45
Q

Key features of blood?

A

↳ specialised connective tissue
↳ denser than water - sticky
↳ approx. 5 litres circulating at any one time
↳ pH 7.35-7.45
↳ temperature - 38degrees
↳ 2 components: blood plasma (55%) and formed elements (cells - 45%)

46
Q

What proteins are in plasma?

A

↳Albumins (most numerous) maintain colloid osmotic pressure
↳Globulins (large) → an example of immunoglobulins (antibodies) which help fight disease
↳Fibrinogen is involved in clotting

47
Q

What function do the electrolytes and gases have in plasma?

A

They help with cell function, help enzymes catalyse reactions, hormones and waste products

48
Q

Key points about red blood cells? (erythrocyte)

A

↳ 4.8-5.4 million per uL of blood
↳ Biconcave disc with no nucleus - allows flexibility
↳ 7-8 um in diameter
Haemoglobin molecule:
↳ Protein (globin) + 4 polypeptide chains with non protein pigment (heam) attaching to each chain
↳ Centre of each heam is an iron Fe2+ which combines reversibly with oxygen

49
Q

Key points about white blood cells? (leukocytes)

A

↳ Larger than RBC and less numerous
↳5000-10,000/uL of blood
↳ Have a nucleus
↳ Agranular (cytes) = lymphocytes (B + T cells and Natural Killer Cells) and monocytes
↳ Granular (phils) = neutrophils, eosinophil and basophils

50
Q

What are the most and least prevalent white blood cells?

A

Most - Neutrophils (phagocytosis)
Least - Basophils (release histamine + develop into mast cells when leaving blood)

51
Q

What is the function of eosinophils?

A

Respond during allergic reactions - dampen histamine

52
Q

What is the function of lymphocytes?

A

To mediate the immune response

53
Q

What is the function of monocytes?

A

Phagocytosis

Develop into macrophages when leaving the blood

54
Q

Key features of platelets?

A

↳150,000 - 400,000/um of blood
↳Cell fragments
↳2-4um in diameter
↳No nucleus
↳Disc shaped

FUNCTION → Involved in clotting

55
Q

What is haemostasis?

A

Means to reduce blood loss if a vessel wall is damaged.

56
Q

How does haemostasis occur?

A

At the site, collagen is exposed.

3 stages:
1. Vascular spasm → constriction of vessel to reduce blood loss

  1. Platelet plug → platelets stick to exposed collagen, chemical released to encourage more platelets to the area - temporary seal
  2. Blood clotting → Involving a cascade of enzymes (clotting factors)
57
Q

What is the extrinsic pathway of blood clotting?

A

Tissue damage releases tissue factor (+clotting factors) which leads to trigger of prothrombinase (enzyme).

58
Q

What is the intrinsic pathway of blood clotting

A

When blood comes into contact with collagen, chemicals are released (+clotting factors)
which leads to trigger of prothrombinase (enzyme).

59
Q

After prothrombinase has been triggered, what is the blood clotting process?

A

→ Prothrombinase transforms Prothrombin into Thrombin (enzyme).
→ Thrombin turns fibrinogen (soulble) → fibrin (insoluble)
→ These fibres are layed down and the clot is formed (inc. fibres, blood cells + platelets)

Calcium ions are required for this process

60
Q

What is thrombosis?

A

Clotting in an unbroken vessel (usually a vein).

61
Q

Why may thrombosis occur?

A

→ May be due to roughened endothelial surfaces resulting from atherosclerosis, trauma or infection

→ Blood flowing too slowly → clotting factors accumulate locally to initiate coagulation

→ The clot is called a thrombus - may dissolve spontaneously
↳ If it remains intact it may become dislodges - “embolus”
↳ An embolus in the artery - reduce blood supply to organ
↳ When an embolus lodges in lungs - pulmonary embolism